Morton`s Neuroma

Morton’s neuroma, also known as interdigital neuroma, is a painful condition that affects the nerves between the toes, most commonly between the third and fourth toes. It’s caused by the thickening of the tissue around one of the nerves leading to the toes. This thickening can cause irritation, compression, and inflammation of the nerve, leading to a variety of symptoms. Here’s a breakdown of the symptoms, causes, and treatments for Morton’s neuroma:

Symptoms:

1. Pain: The most common symptom is pain in the ball of the foot, often described as a sharp or burning pain. This pain can extend into the affected toes.
2. Tingling or numbness: Some individuals might experience tingling or numbness in the toes associated with the affected nerve.
3. Feeling of a lump: People with Morton’s neuroma might feel as though there’s a small pebble or lump under the ball of their foot.

Causes: The exact cause of Morton’s neuroma is not always clear, but several factors can contribute to its development:

1. Footwear: Wearing tight, narrow, or high-heeled shoes can increase pressure on the forefoot and contribute to the development of neuromas.
2. Foot structure: Certain foot deformities, such as high arches or flat feet, can lead to instability in the forefoot and increase the risk of neuromas.
3. Repetitive stress: Activities that involve repetitive pressure on the forefoot, such as running or certain sports, can lead to nerve irritation.
4. Biomechanical issues: Abnormal foot mechanics and gait patterns can lead to increased pressure on the nerves in the forefoot.

Treatment: The treatment for Morton’s neuroma aims to relieve pain, reduce inflammation, and address the underlying causes. Here are some common approaches:

1. Footwear modification: Switching to shoes with a wider toe box and lower heels can reduce pressure on the affected area.
2. Orthotic devices: Custom-made or over-the-counter shoe inserts (orthotics) can help correct foot mechanics and alleviate pressure on the nerve.
3. Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) may help reduce pain and inflammation.
4. Physical therapy: Stretching exercises, foot-strengthening exercises, and techniques to improve foot mechanics can provide relief.
5. Injection therapy: Corticosteroid injections into the affected area can help reduce inflammation and pain.
6. Padding or taping: Pads or tape can be used to support the metatarsal bones and reduce pressure on the nerve.
7. Surgery: If conservative treatments don’t provide relief, surgical removal of the neuroma may be considered.

It’s important to consult with a healthcare professional, such as a podiatrist or orthopaedic surgeon, if you suspect you have Morton’s neuroma. They can provide a proper diagnosis and recommend the most appropriate treatment based on your individual condition.